Organization
DR. SUSAN M. RADTKE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE RADTKE PH.D. (PRESIDENT AND CLINICAL PSYCHOLOGIST)
(630) 740-7983
Entity
Organization
Contact information
Practice address
8581 DOLFOR CV, BURR RIDGE, IL 60527-8350
(630) 740-7983
(630) 323-5304
Mailing address
8581 DOLFOR CV, BURR RIDGE, IL 60527-8350
(630) 740-7983
(630) 323-5304
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
071006342
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632203
BLUE CROSS PROVIDER
IL
01
—
07100632
PSYCHOLOGIST LICENSE
IL
01
—
1326067331
NPI AS INDIV. PROVIDER
IL
Enumeration date
01/08/2007
Last updated
11/20/2025
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